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National Care Coordination Academy Recording: May 18, 2021

After this session, participants will be able to articulate how they will present their work in the CC academy and data to key stakeholders, develop a plan to prepare their work product for sustainability, identify their target audience to demonstrate their work, and identify the goal of their presentation (i.e…

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National Care Coordination Academy Recording: March 10, 2021

After this session, participants will have an expanded understanding of ways to engage with their state Medicaid Programs, have an understanding of the role of a Medicaid Medical Director (MMD) and best ways to collaborate with their state’s MMD to approve and/or improve and sustain care coordination programs, and understand…

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The Role of Title V Programs in Increasing Access to School-Based Health Services: Opportunities for Bolstering Medicaid Reimbursement

In 2014, the Centers for Medicare and Medicaid Services (CMS) reversed the 1997 Medicaid policy known as the Free Care Rule, which limited the ability of schools to bill Medicaid for student health care services. In this explainer, the Catalyst Center provides an overview of the Free Care Rule reversal,…

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Paths to Financial Sustainability for Comprehensive Pediatric Complex Care Programs

This presentation offers a Medicaid policy toolkit for Title V agencies and providers. It was originally presented at the AMCHP 2021 Conference.

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Durable Medical Equipment (DME) Reference Guide 2020

Colorado Durable Medical Equipment eligibility, documentation, and process for diapers, wheelchairs, supplemental oral nutrition, enteral nutrition, suction machine, disability placards, and synagis.

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The American Rescue Plan Act: Opportunities for Improving Home- and Community-Based Services for Children and Youth with Special Health Care Needs

The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021. Provisions in this legislation have the potential to expand and strengthen Home- and Community-Based Services (HCBS) for children enrolled in Medicaid, in turn strengthening the systems of services for children and youth with special health care…

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PDF: Strategies for State Title V and Medicaid Programs to Promote Health Equity for Children of Color with Special Health Care Needs

State Title V and Medicaid programs provide services for children and youth with special health care needs (CYSHCN) to support their physical, behavioral, and developmental care. States are also advancing health equity goals to address disparate outcomes experienced by people of color. With evidence of existing inequities laid bare by…

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Strengthening Title V – Medicaid Managed Care Collaborations to Improve Care for CYSHCN

Forty-seven states use some form of managed care to serve children and youth with special health care needs (CYSHCN) enrolled in Medicaid. State Title V programs, which are required to use 30 percent of their funds for programs for CYSHCN and their families, may also serve these same children. By…

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Improving Care Coordination for Children with Medical Complexity: Exploring Medicaid Health Home State Options

States are increasingly interested in care coordination as a strategy for improving systems of care for children with medical complexity (CMC) and their families. The Section 2703 Medicaid Health Home State Option and the new Advancing Care for Exceptional (ACE) Kids Act Health Home State Option present opportunities to enhance…

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The Role of State Medicaid and Title V Program Definitions of Children and Youth with Special Health Care Needs in the Provision of Services and Supports

This issue brief, written in partnership with the National Academy for State Health Policy (NASHP), describes how states define CYSHCN within Medicaid and Title V CYSHCN programs and explores the implications of these definitions. Federal and state program approaches to defining children and youth with special health care needs (CYSHCN) can…